Organization
COMMUNITY MEDICAL CENTER INC
Active
Other names
Community Rx
Organization subpart
No
Provider details
NPI number
Authorized official
H. DEAN MIKES (DIRECTOR OF PHARMACY)
(406) 327-4041
Entity
Organization
Contact information
Practice address
2835 FORT MISSOULA RD, MISSOULA, MT 59804-7423
(406) 327-4680
(406) 327-4679
Mailing address
2835 FORT MISSOULA RD, MISSOULA, MT 59804-7423
(406) 327-4680
(406) 327-4679
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1320
MT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2783719
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/01/2010
Last updated
02/22/2011
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